| NPI | 1477755262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD28134) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD.200886) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2008-08-18 |